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ABSTRAKLATAR BELAKANG: Katiadaan instrumen penilaian kompetensi yang valid
menyulitkan penilaian praktik konseling terhadap tenaga gizi desa (Barangay Nutrition
Scholars, BNS) yang mendapat pelatihan konseling pemberian makanan pada bayi dan
anak (infant and young child feeding, IYCF). Studi ini dirancang untuk mengembangkan
dan memvalidasi instrumen penilaian kompetensi BNS dalam memberikan konseling
IYCF.
METODE: Desain penelitian metodologi digunakan untuk mengembangkan dan validasi
instrumen pengukur kompetensi konseling IYCF meliputi pengetahuan, sikap, dan
keterampilan, berdasarkan frekuensi, intensitas, dan aktivitas. Instrumen ini ditujukan
penggunaanya oleh BNS, supervisor, maupun klien. Uji coba dan revisi berdasarkan hasil
analisis item dilakukan pada 320 BNS dan dilanjutkan dengan uji lapangan terhadap 280
BNS. Validitas isi (content validity) dikaji oleh beberapa pakar, sedangkan konsistensi
internal (internal consistency) dan validitas konstruk (construct validity) diuji dengan
Cronbach?s alpha dan, exploratory dan confirmatory factor analysis. Distribusi bobot
pengetahuan, sikap dan keterampilan dan nilai titik potong kompetensi untuk tiap
construct dan instrumen ditetapkan berdasarkan sensitivitas dan spesifisitas menggunakan
ROC Curve.
HASIL: Instrumen yang valid terdiri dari: 1) 28 item terkait pengetahuan BNS dengan
tipe memilih benar atau salah suatu pertanyaan, pertanyaan dengan jawaban singkat, dan
pilihan ganda; 2) 10 item terkait sikap BNS dengan Likert scale untuk menilai pandangan
pribadi, sikap terhadap implementasi, dan hambatan yang dirasakan saat konseling IYCF;
3) 18 item menggunakan 5 skala frekuensi penilaian BNS dalam mendengarkan,
memberikan support, dan praktik penilaian dan keterampilan; 4) 18 item dengan 4 skala
nilai untuk atasan BNS menilai intensitas proses konseling, penilaian dan penggunaan
materi IYCF; dan 5) 17 item berupa daftar tilik kegiatan untuk klien menilai pemberian
support, penilaian, dan praktik keterampilan. Gabungan item masing-masing menjadi
instrumen penilaian kompetensi KAS-WOR, KAS-SUP, KAS-MOM dan KAS-COM
dengan nilai titik potong masing-masing yaitu 75%, 50%, 80% dan 65%. Berdasarkan
pembobotan 20% untuk pengetahuan, 10% sikap, dan 70% keterampilan diperoleh 30%
BNS yang kompeten dalam konseling IYCF.
KESIMPULAN: Hasil pengembangan instrumen penilaian kompetensi BNS melakukan
konseling IYCF memiliki konsistensi internal dan tingkat validitas yang sedang sampai
tinggi.
ABSTRACTBACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been
trained to do infant and young child feeding (IYCF) counseling but the absence of a
validated competency instruments constrained the assessment of their competency to
do IYCF counseling to their client. This study was designed to develop and validate
the instruments to assess the competency of BNS on IYCF counseling and answer the
question: how valid and reliable were the developed instrument to measure the
competency of trained BNS on IYCF counseling?
METHODS: Methodological research design were used to develop and validate the
instruments to measure IYCF counseling competency based on knowledge, attitude
and skills in terms of frequency, intensity and activity designed for the BNS,
supervisor and client, respectively. The instruments were pilot-tested to assess 320
BNS. Item analyses results were used for revisions prior to field test to 280 BNS.
Experts checked the content validity; internal consistency and construct validity were
assessed using Cronbach?s alpha and exploratory and confirmatory factor analysis,
respectively. The weighting distribution for knowledge, attitude and skills and cut-off
score for each construct and instrument were established based on sensitivity and
specificity using ROC Curve to calculate the score and to identify competent BNS.
RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test
with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS
attitude test with four scale Likert scale to assess personal view, attitude towards
implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale
frequency instrument for BNS to assess listening, giving support, assessment and
action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the
intensity in doing the counseling process, assessment and use of IYCF materials; and
5) 17-item activity checklist designed for client to assess giving support, assessment
and actions skills. These constructs were combined into competency assessment
instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%,
80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for
knowledge-attitude-skills competent BNS on IYCF counseling was about 30%.
CONCLUSIONS: The assessment instruments developed to measure the IYCF
counseling competency of BNS had relatively moderate to high internal consistency
and validity. This assures that the results of the tests can be relied upon for making
dependable judgments and interpretations.;BACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been
trained to do infant and young child feeding (IYCF) counseling but the absence of a
validated competency instruments constrained the assessment of their competency to
do IYCF counseling to their client. This study was designed to develop and validate
the instruments to assess the competency of BNS on IYCF counseling and answer the
question: how valid and reliable were the developed instrument to measure the
competency of trained BNS on IYCF counseling?
METHODS: Methodological research design were used to develop and validate the
instruments to measure IYCF counseling competency based on knowledge, attitude
and skills in terms of frequency, intensity and activity designed for the BNS,
supervisor and client, respectively. The instruments were pilot-tested to assess 320
BNS. Item analyses results were used for revisions prior to field test to 280 BNS.
Experts checked the content validity; internal consistency and construct validity were
assessed using Cronbach?s alpha and exploratory and confirmatory factor analysis,
respectively. The weighting distribution for knowledge, attitude and skills and cut-off
score for each construct and instrument were established based on sensitivity and
specificity using ROC Curve to calculate the score and to identify competent BNS.
RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test
with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS
attitude test with four scale Likert scale to assess personal view, attitude towards
implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale
frequency instrument for BNS to assess listening, giving support, assessment and
action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the
intensity in doing the counseling process, assessment and use of IYCF materials; and
5) 17-item activity checklist designed for client to assess giving support, assessment
and actions skills. These constructs were combined into competency assessment
instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%,
80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for
knowledge-attitude-skills competent BNS on IYCF counseling was about 30%.
CONCLUSIONS: The assessment instruments developed to measure the IYCF
counseling competency of BNS had relatively moderate to high internal consistency
and validity. This assures that the results of the tests can be relied upon for making
dependable judgments and interpretations.;BACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been
trained to do infant and young child feeding (IYCF) counseling but the absence of a
validated competency instruments constrained the assessment of their competency to
do IYCF counseling to their client. This study was designed to develop and validate
the instruments to assess the competency of BNS on IYCF counseling and answer the
question: how valid and reliable were the developed instrument to measure the
competency of trained BNS on IYCF counseling?
METHODS: Methodological research design were used to develop and validate the
instruments to measure IYCF counseling competency based on knowledge, attitude
and skills in terms of frequency, intensity and activity designed for the BNS,
supervisor and client, respectively. The instruments were pilot-tested to assess 320
BNS. Item analyses results were used for revisions prior to field test to 280 BNS.
Experts checked the content validity; internal consistency and construct validity were
assessed using Cronbach?s alpha and exploratory and confirmatory factor analysis,
respectively. The weighting distribution for knowledge, attitude and skills and cut-off
score for each construct and instrument were established based on sensitivity and
specificity using ROC Curve to calculate the score and to identify competent BNS.
RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test
with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS
attitude test with four scale Likert scale to assess personal view, attitude towards
implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale
frequency instrument for BNS to assess listening, giving support, assessment and
action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the
intensity in doing the counseling process, assessment and use of IYCF materials; and
5) 17-item activity checklist designed for client to assess giving support, assessment
and actions skills. These constructs were combined into competency assessment
instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%,
80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for
knowledge-attitude-skills competent BNS on IYCF counseling was about 30%.
CONCLUSIONS: The assessment instruments developed to measure the IYCF
counseling competency of BNS had relatively moderate to high internal consistency
and validity. This assures that the results of the tests can be relied upon for making
dependable judgments and interpretations., BACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been
trained to do infant and young child feeding (IYCF) counseling but the absence of a
validated competency instruments constrained the assessment of their competency to
do IYCF counseling to their client. This study was designed to develop and validate
the instruments to assess the competency of BNS on IYCF counseling and answer the
question: how valid and reliable were the developed instrument to measure the
competency of trained BNS on IYCF counseling?
METHODS: Methodological research design were used to develop and validate the
instruments to measure IYCF counseling competency based on knowledge, attitude
and skills in terms of frequency, intensity and activity designed for the BNS,
supervisor and client, respectively. The instruments were pilot-tested to assess 320
BNS. Item analyses results were used for revisions prior to field test to 280 BNS.
Experts checked the content validity; internal consistency and construct validity were
assessed using Cronbach’s alpha and exploratory and confirmatory factor analysis,
respectively. The weighting distribution for knowledge, attitude and skills and cut-off
score for each construct and instrument were established based on sensitivity and
specificity using ROC Curve to calculate the score and to identify competent BNS.
RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test
with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS
attitude test with four scale Likert scale to assess personal view, attitude towards
implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale
frequency instrument for BNS to assess listening, giving support, assessment and
action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the
intensity in doing the counseling process, assessment and use of IYCF materials; and
5) 17-item activity checklist designed for client to assess giving support, assessment
and actions skills. These constructs were combined into competency assessment
instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%,
80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for
knowledge-attitude-skills competent BNS on IYCF counseling was about 30%.
CONCLUSIONS: The assessment instruments developed to measure the IYCF
counseling competency of BNS had relatively moderate to high internal consistency
and validity. This assures that the results of the tests can be relied upon for making
dependable judgments and interpretations.]
D-Leila Sacdalan Africa.pdf :: Unduh